动脉瘤性蛛网膜下腔出血的循证护理

Evidence based nursing of aneurysmal subarachnoid hemorrhage

目的分析动脉瘤性蛛网膜下腔出血的临床表现及并发症,观察循证护理对动脉瘤性蛛网膜下腔出血患者的并发症及预后的影响。方法应用循证方法分析动脉瘤性蛛网膜下腔出血患者,确定需循证的护理问题,寻找循证支持;将循证护理应用于66例实验组患者,同一般护理组(对照组)57例对比患者的并发症和预后。结果循证护理组患者的并发症明显低于对照组,患者预后得到明显改善。结论循证护理能够明显减少患者并发症,改善患者预后,对动脉瘤性蛛网膜下腔出血患者应早期应用循证护理。

【Objective】 To analyze the clinical manifestation and complications in patients with aneurysmal subarachnoidale hemorrhage（aSAH） and observe the effect of Evidence Based Nursing on patients＇ complications and prognosis.【Methods】 Patients of aSAH were analyzed by Evidence Based method.Confirm the nursing question needed to evidence,find evidence supports and apply evidence based nursing on 66 experiment group patients.Compare the complications and prognosis with 57 patients of control group.Normal care was performed in control group.【Results】 The incidence of complications was significantly reduced in experimental group when compared with control group.In addition,the prognosis of patients was much improved in experimental group than that in control group.【Conclusion】 Evidence based nursing could effectively decrease complication and improve prognosis in patients with aSAH.Evidence based nursing should be applied on aSAH patients as early as possible.